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Luteinising Hormone (LH)
LH works alongside FSH to regulate ovulation and menstrual cycles. During perimenopause, LH levels can fluctuate unpredictably. Persistently elevated levels may indicate that ovulation is slowing down or becoming irregular, which is common as menopause approaches.

Follicle Stimulating Hormone (FSH)
FSH stimulates the growth of ovarian follicles and is a key indicator of ovarian function. High FSH levels are a hallmark of perimenopause and menopause, reflecting the body’s reduced ability to produce mature eggs and declining oestrogen levels.

Oestrogen (commonly measured as Oestradiol)
Oestrogen is the primary female sex hormone, responsible for regulating the menstrual cycle and supporting mood, skin, bones, and vaginal health. In perimenopause, oestrogen levels can rise and fall unevenly, often causing symptoms such as hot flushes, night sweats, and irregular bleeding.

Progesterone
Progesterone helps regulate the menstrual cycle and prepares the body for pregnancy. During perimenopause, progesterone levels often decline due to fewer ovulatory cycles. Low progesterone can contribute to cycle irregularity, anxiety, sleep issues, and heavier or prolonged periods.